治虚热、石药发热,当露卧冷湿伤肌,热聚在里变成热,及水病肿满,腹大气急,大小
便不利,肿如皮纸盛水,晃晃如老蚕色,阴茎坚肿,为疮水出,此皆肾热虚损,强取风阴,
湿伤脾胃故也,治之之法,内宜根据方服诸利小便药,外以此汤洗四肢竟,以葱白膏敷之,别
以猪蹄汤洗茎上方。
蒺藜子 葱心青皮 赤小豆(各一升) 菘菜子(二升) 蒴 (五升) 巴豆(一枚,
连皮
壳
上六味, 咀,以水二斗,煮取八升,以淋洗肿处。
治服石发热,因劳损热盛当风露卧茎肿方。
猪蹄(一具) 蒴 (三升) 蒺藜子(一升,碎) 葶苈子(半斤) 黄柏(五两)
上五味, 咀,以水一斗,煮取三升,冷浴阴茎,日三。
葱白 菘菜子 葶苈子 蒴 根 蒺藜子 丹参(各半升) 猪膏(五升)
上七味, 咀,煎如煎膏法,去滓用之。
治男子阴肿大如升斗核痛,人所不能疗者方∶
雄黄(一两,研) 矾石(二两,研) 甘草(一尺,切)
上三味,以水五升,煮减半,洗肿痛处。(《集验方》无矾石,只二味。)
治阴肿皮痒方∶
熬桃仁令香为末,酒服方寸匕,日三。
有人阴冷,冷气渐入阴囊肿满恐死,日夜疼闷(《外台》作夜即痛闷),不得眠方∶
取生椒择令净,以布帛裹着丸囊,令浓半寸,须臾热气通,日再易,取消瘥止。
又方 捣苋菜根敷之。
又方 以釜月下土,鸡子白和敷之。
又方 醋和热灰熨之。
又方 车前子为末饮之。
又方 醋和面熨之。
又方 煮大蓟根汁,服一升,日三,不过三剂愈。
治阴肿痛方∶
灸大敦三壮。
治卒阴痛如刺,汗出如雨方∶
小蒜 韭根 杨柳根(各一斤)
上三味,合烧,以酒灌之,及热以气蒸之即愈。
治阴痛方∶
甘草(末) 石蜜(等分)
上二味,和乳涂之。
治妒精疮方∶
用银钗绵裹以腊月猪脂熏黄,火上暖,以钗烙疮上,令热,取干槐枝烧 涂之。
又方 麝香 黄矾 青矾(等分)
上三味,为末,小便后敷上,不过三度。
治阴蚀疮方∶
蒲黄(一升) 水银(二两)
上二味,研成粉,小便后即敷之,瘥止。
又方 野狼牙两把(切),以水五升,煮取一升,温洗之,日五度。
又方 肥猪肉五斤,水三斗,煮令极烂,去肉,以汤令极热便以渍疮中,冷即愈。
治阴蚀生疮或痒方∶
雄黄 矾石(各二分) 麝香(半分)
上三味,为末,粉疮上即瘥。
治阴恶疮方∶
蜜煎甘草末涂之。(葛氏云∶此见有人患茎头肿坎下疮欲断者,以猪肉汤渍洗之,并黄
柏、黄连末涂之)。
治男女阴疮方∶
石硫黄为末,以敷疮上。
治男女阴痒生疮方∶
嚼胡麻敷之佳。
治阴下生疮,洗汤方∶
地榆 黄柏(各半斤)
上二味, 咀,以水一斗五升,煮取六升,去滓适冷暖便洗疮,日再。或只煮黄柏汁洗
亦佳。
治疗虚热、服用石药引起的发热,以及因露天睡在冷湿处损伤肌肤,热气聚集在体内转化为实热,还有水肿胀满、腹部膨大、呼吸急促、大小便不通畅,身体肿胀像皮纸里盛着水一样,颜色晃荡如同老蚕的颜色,阴茎坚硬肿胀,溃烂流水,这些都是肾热虚损,强行行房事,湿气损伤脾胃所致。治疗的方法,内服应当根据方剂服用各种通利小便的药物,外用以此汤剂清洗四肢结束后,用葱白膏涂抹,另外用猪蹄汤清洗阴茎上方。
蒺藜子、葱心青皮、赤小豆(各一升)、菘菜子(二升)、蒴藋(五升)、巴豆(一枚,连皮带壳)。以上六味药,切碎,用水二斗,煮取八升,用来淋洗肿胀部位。
治疗服用石药后发热,因劳累损伤、热势旺盛时迎风露宿导致阴茎肿胀的方剂。
猪蹄(一具)、蒴藋(三升)、蒺藜子(一升,捣碎)、葶苈子(半斤)、黄柏(五两)。
以上五味药,切碎,用水一斗,煮取三升,冷却后沐浴阴茎,每日三次。
葱白、菘菜子、葶苈子、蒴藋根、蒺藜子、丹参(各半升)、猪脂(五升)。
以上七味药,切碎,按照煎制膏药的方法煎煮,滤去药渣使用。
治疗男子阴囊肿大如升斗,核状疼痛,他人无法治疗的方剂:
雄黄(一两,研细)、矾石(二两,研细)、甘草(一尺,切段)。
以上三味药,用水五升,煮至减半,清洗肿痛部位。(《集验方》中没有矾石,只有两味药。)
治疗阴部肿胀皮肤瘙痒的方剂:
将桃仁炒香后研成粉末,用酒送服一方寸匕,每日三次。
有人感到阴部寒冷,冷气逐渐进入阴囊导致肿胀满闷,恐惧死亡,日夜疼痛烦闷(《外台秘要》记载为夜间即疼痛烦闷),无法入睡的方剂:
选取新鲜的花椒使其洁净,用布帛包裹后塞入阴囊,厚度约半寸,片刻后热气通达,每日更换两次,直到痊愈为止。
又一方:取锅底下的泥土,与鸡蛋清调和后敷贴患处。
又一方:用醋调和热灰熨烫患处。
又一方:将车前子研成粉末,冲服。
又一方:用醋调和面粉熨烫患处。
又一方:煮大蓟根的汁液,每次服用一升,每日三次,不超过三剂即可痊愈。
治疗阴部肿痛的方法:
灸大敦穴三壮。
治疗突然发生的阴部刺痛,出汗如雨下的方剂:
小蒜、韭根、杨柳根(各一斤)。
以上三味药,一起烧焦,用酒浇灌,趁热用蒸汽熏蒸患处即可痊愈。
治疗阴部疼痛的方剂:
甘草(粉末)、石蜜(等量)。
以上两味药,混合乳汁涂抹患处。
治疗妒精疮的方剂:
用银钗裹上绵花,蘸腊月猪脂熏黄,在火上加热,用银钗烙烫疮口,使其发热,再用干燥的槐树枝燃烧后的灰烬涂抹患处。
又一方:麝香、黄矾、青矾(等量)。
以上三味药,研成粉末,在小便后敷于患处,不超过三次。
治疗阴蚀疮的方剂:
蒲黄(一升)、水银(二两)。
以上两味药,研成粉末,在小便后立即敷于患处,痊愈即止。
又一方:野狼牙草两把(切碎),用水五升,煮取一升,温热后清洗患处,每日五次。
又一方:肥猪肉五斤,水三斗,煮至极烂,去掉肉,用汤汁令其极热,随即浸泡疮口中,变冷后即愈。
治疗阴部蚀烂生疮或瘙痒的方剂:
雄黄、矾石(各二分)、麝香(半分)。
以上三味药,研成粉末,撒在疮口上即愈。
治疗阴部恶疮的方剂:
蜂蜜煎煮甘草末涂抹患处。(葛洪说:曾见有人患茎头肿起凹陷的疮,快要断绝者,用猪肉汤浸泡清洗,并用黄柏、黄连粉末涂抹。)
治疗男女阴部疮疡的方剂:
硫黄研成粉末,敷于疮口上。
治疗阴下生疮的清洗汤剂:
地榆、黄柏(各半斤)。
以上两味药,切碎,用水一斗五升,煮取六升,滤去药渣,调节温度适宜后清洗疮口,每日两次。或者只煮黄柏汁清洗也很好。
Treat deficiency-heat, fever caused by taking mineral drugs (Shiyao), and injury to the skin from sleeping exposed in cold and dampness. When heat aggregates internally transforming into excess heat, or in cases of edema and distension, abdominal enlargement, shortness of breath, and difficulty in urination and defecation; when swelling resembles water-filled parchment, with a color shifting like that of an old silkworm; when the penis is hard and swollen, ulcerating and discharging fluid; these are all due to Kidney heat and deficiency, forced sexual activity, and dampness injuring the Spleen and Stomach. The treatment method involves internally administering various diuretic formulas according to the prescription, externally washing the limbs with this decoction until finished, applying Congbai Gao (Scallion White Ointment) afterwards, and separately washing the area above the penis with Zhu Ti Tang (Pig Trotter Decoction).
Jili Zi (Tribulus Fruit), Qingpi of Scallion Heart, Chi Xiao Dou (Adzuki Bean), Song Cai Zi (Chinese Cabbage Seed), Shuobi (Dioscorea Bulbifera), Ba Dou (Croton Seed, one piece, including peel and shell). The above six herbs are coarsely crushed, boiled in two dou of water until eight sheng remain, and used to pour over and wash the swollen areas.
Formula for treating fever after taking mineral drugs, where strenuous work causes heat damage, and exposure to wind while sleeping outdoors leads to penile swelling.
Zhu Ti (Pig Trotter, one whole), Shuobi (three sheng), Jili Zi (one sheng, crushed), Ting Li Zi (Semen Lepidii/Semen Descurainiae, half jin), Huang Bo (Phellodendri Cortex, five liang).
The above five herbs are coarsely crushed, boiled in one dou of water until three sheng remain. Bathe the penis in the cooled liquid three times daily.
Cong Bai (Scallion White), Song Cai Zi, Ting Li Zi, Shuobi Gen (Root of Dioscorea Bulbifera), Jili Zi, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, each half sheng), Zhu Gao (Pig Fat, five sheng).
The above seven herbs are coarsely crushed and decocted into an ointment paste. Strain and use.
Formula for treating male genital swelling as large as a measuring vessel, with nodular pain, which others cannot cure:
Xiong Huang (Realgar, one liang, ground), Fan Shi (Alumen, two liang, ground), Gan Cao (Licorice Root, one chi, sliced).
The above three herbs are boiled in five sheng of water until reduced by half. Wash the swollen and painful area. (Note: *Ji Yan Fang* omits Fan Shi, using only two herbs.)
Formula for treating genital swelling with itchy skin:
Fry Tao Ren (Persicae Semen) until fragrant, grind into powder. Take one cun bi with wine, three times daily.
For someone experiencing coldness in the genitals, where cold qi gradually enters causing scrotal fullness and fear of death, with day-and-night pain and restlessness (recorded in *Wai Tai Mi Yao* as night-time pain and restlessness), preventing sleep:
Select fresh Jiao (Zanthoxyli Fructus/Peppercorn), ensure cleanliness, wrap in cloth, and insert into the scrotum to a thickness of half a cun. After a moment, warmth will circulate. Replace twice daily until cured.
Another formula: Mash Xian Cai Gen (Amaranth Root) and apply topically.
Another formula: Use earth from under the cooking pot mixed with Ji Zi Bai (Egg White) for topical application.
Another formula: Mix hot ash with vinegar and apply via moxibustion-like warming (ironing).
Another formula: Drink powder made from Che Qian Zi (Plantago Seed).
Another formula: Mix flour with vinegar and apply via warming.
Another formula: Decoct juice from Da Ji Gen (Cirsii Japonici Radix), take one sheng, three times daily. Cure within three doses.
Method for treating genital swelling and pain:
Moxibustion on Da Dun (LR1) acupoint, three moxa cones.
Formula for sudden stabbing pain in the genitals with profuse sweating like rain:
Xiao Suan (Allium Macrostemon), Jiu Gen (Chinese Chive Root), Yang Liu Gen (Willow Root, each one jin).
Burn the above three herbs together, pour wine over them, and steam the affected area while hot until cured.
Formula for treating genital pain:
Gan Cao (Licorice Root powder), Shi Mi (Rock Sugar/Honey, equal parts).
Mix the two ingredients with milk and apply topically.
Formula for treating Du Jing Chuang (Jealousy Essence Ulcer):
Wrap Yin Cha (Silver Needle) in cotton, smoke with La Yue Zhu Zhi (December Pig Fat) until yellow, warm over fire, and cauterize the ulcer with the needle to generate heat. Then apply powder from dried Huai Zhi (Sophora Branch) burnt to ash.
Another formula: She Xiang (Musk), Huang Fan (Yellow Alum), Qing Fan (Green Alum, equal parts).
Grind into powder. Apply after urination. No more than three applications needed.
Formula for treating Yin Shi Chuang (Genital Erosion Ulcer):
Pu Huang (Typha Pollen, one sheng), Shui Yin (Mercury, two liang).
Grind into powder. Apply immediately after urination. Stop when healed.
Another formula: Ye Lang Ya (Two handfuls of wild toothwort, sliced). Decoct in five sheng of water to obtain one sheng. Wash the area warmly, five times daily.
Another formula: Cook five jin of fatty pork in three dou of water until extremely soft. Remove meat. While the broth is very hot, soak the ulcer. It heals once cooled.
Formula for treating genital erosion ulcers or itching:
Xiong Huang, Fan Shi (each two fen), She Xiang (half fen).
Grind into powder. Dust onto the ulcer for cure.
Formula for treating malignant genital ulcers:
Apply honey-fried Gan Cao powder. (Ge Hong states: He saw a case of penile head swelling with a sunken ulcer threatening amputation. He washed it with pork broth and applied powders of Huang Bo and Huang Lian.)
Formula for treating genital ulcers in both men and women:
Grind Liu Huang (Sulfur) into powder and apply to the ulcer.
Formula for treating genital itching and ulceration in both men and women:
Chew Hu Ma (Sesame) and apply topically for best results.
Decoction for washing sores below the genitals:
Di Yu (Sanguisorbae Radix), Huang Bo (Phellodendri Cortex, each half jin).
Coarsely crush the two herbs. Decoct in one dou five sheng of water to obtain six sheng. Strain. Adjust temperature and wash the ulcer twice daily. Alternatively, decoct only Huang Bo juice for washing is also effective.